In this video, Dr. Wande Pratt, a Vascular & Endovascular Surgeon and the Managing Physician at Modern Vascular of St. Louis, discusses how chronic wounds are common for Peripheral Artery Disease (PAD) patients and how important it is to acknowledge their relationship due to the restricted blood flow to the extremities.
Dr. Wande Pratt is a vascular surgeon and the managing physician at Modern Vascular in St. Louis, Missouri. He has been practicing endovascular surgery for over 6 years. At Modern Vascular, we specialize in the treatment and management of peripheral artery disease in the lower extremities, all the way down to the toes.
PAD and Chronic Wounds
A chronic wound is a wound that persists despite management and treatment. It can often take a long time to fully heal. Chronic wounds are common among peripheral artery disease patients because many of the risk factors of PAD also result in chronic wounds. Those risk factors are poor circulation, diabetes, smoking, high blood pressure, hyperlipidemia, and high cholesterol. These patients are not receiving enough blood circulation to their lower extremities, where the ulcer or the wound may be present.
Many of these patients that do have chronic wounds have diabetes; and, subsequently, neuropathy. They may not notice or feel that they have a wound, ulcer, or pain in the foot because of their neuropathy. The risks of not treating a wound in a timely manner are severalfold. A wound can take several months, or even years, to heal. If those wounds fail to heal they can progress.
What Should You Do if You Have a Chronic Wound?
If you are experiencing a chronic wound it is a good idea to see a doctor. Chronic wounds can also be a sign of other diseases. Infections can lead to major complications. Ultimately, we want to prevent the infection from getting into the bloodstream or bone. If that occurs, then there’s a risk of having a major complication, including a major amputation if left untreated. Not every patient that comes to Modern Vascular will require intervention, but if they do then we can do it at our facilities.
Wounds that don’t heal are often a sign of a vascular issue. Wound care can help prevent major complications. Revascularization can improve overall health and wound health. Start healing by scheduling a Modern Vascular evaluation and assessment today.
Early PAD detection combined with follow‐up care could help slow disease progression and reduce PAD-related hospitalizations. Amputation can be prevented when an early diagnosis is made. Talk to your doctor if you think you may have a foot ulcer or wound that won’t heal.